The relation between mindfulness and fear of negative evaluation over the course of cognitive behavioral therapy for social anxiety disorder

J Clin Psychol. 2013 Mar;69(3):222-8. doi: 10.1002/jclp.21929. Epub 2012 Nov 1.

Abstract

Objectives: This study examined the relation between mindfulness and fear of negative evaluation over the course of nonmindfulness based cognitive-behavioral therapy (CBT) for social anxiety disorder (SAD). We expected that higher levels of mindfulness would be associated with a more positive response to treatment.

Method: This study is a secondary report from a randomized controlled trial in which participants (N = 65) diagnosed with SAD were randomly assigned to receive 8 weeks of 1 of 2 manualized treatments (exposure group therapy, n = 33; or virtual reality exposure therapy, n = 32) either immediately or following an 8 week waiting period.

Results: Fear of negative evaluation decreased following treatment and was negatively related to mindfulness throughout treatment and follow-up. Mindfulness did not moderate treatment outcome.

Conclusions: These findings indicate that while mindfulness is related to fear, it is not a moderator of symptom reduction in nonmindfulness-based treatment. Implications for treatment and future research are discussed.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Awareness / physiology*
  • Cognitive Behavioral Therapy / instrumentation
  • Cognitive Behavioral Therapy / methods
  • Fear / psychology
  • Female
  • Humans
  • Implosive Therapy / methods*
  • Male
  • Middle Aged
  • Phobic Disorders / physiopathology
  • Phobic Disorders / psychology*
  • Psychotherapy, Group / methods
  • Time Factors
  • Treatment Outcome
  • User-Computer Interface*